LASIK术中术后并发症及相关因素探讨  

Complications during and after LASIK for myopia and correlation factors.

作　　者：王敏[1,2] 燕振国[1] 徐朝晖[1] 张丽[1] 

机构地区：[1]兰州军区兰州总医院眼科中心,甘肃兰州730050 [2]兰州大学,甘肃兰州730000

出　　处：《眼外伤职业眼病杂志》2009年第12期904-906,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨准分子激光原位角膜磨镶术(LASIK)术中术后并发症的最佳处理方法。方法选择我院3年间接受LASIK术受术者1877例(3740眼)资料,对术中及术后并发症的资料进行统计,并分析其相关因素。受术者随访期均为3月余。结果术中并发症主要为角膜瓣破损3服(0.08%),角膜瓣游离1眼(0.03%)。术后影响视力的主要并发症为角膜瓣皱褶5眼(0.14%),角膜瓣"反卷"2眼(0.05%),屈光回退201眼(5.374%)。结论避免上述有关因素,同时给予及时恰当的处理,在很大程度上可减少LASIK术中及术后相应并发症的发生。Objective To investigate the correlation factors of complications during and after laser in situ keratomileusis （LASIK）, and to seek the best approach of treatment. Methods To select the datum for the 1877 cases （3740 eyes ） underwent LASIK in our hospital during 3 years, and to analysis statistically correlation factors of complications during and after LASIK. The follow-up periods were all about 3 months. Results Corneal flap breakage 3 eyes （0. 080% ） and corneal flap liberation 1 eye （0.027%） were mainly complications during surgery and concerned with the breach of ceratotome; Corneal flap reductus 5 eyes （0. 134%） and corneal flap ＂aeock＂ 2 eyes （0. 053%） were mainly postoperative complications and concerned with no performance for medical order, and refraction regression 201 eyes （5. 374% ） mainly oeeured in super-high myopia sufferer and was concerned with unduly using eye after surgery. Conclusion The incidence of complications during and after LASIK was obviously decrease by avoiding above-mentioned correlation factors and giving prompt and correct treatment.

关 键 词：准分子激光原位角膜磨镶术 并发症 相关因素 

分 类 号：R779.63[医药卫生—眼科]